<form class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST">
    <div class="form-group">
        <label for="title" class="control-label col-xs-12 col-sm-2">{:__('ChapterTitle')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="title" name="row[title]" data-rule="required;title"
                placeholder="{:__('ChapterTitle')}" value="{$row.title}" />
        </div>
    </div>

    <div class="form-group">
        <label for="url" class="control-label col-xs-12 col-sm-2">{:__('ChapterUrl')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="url" data-rule="required" class="form-control" size="50" name="row[url]" type="text"
                    value="{$row.url}" readonly />

                <div class="input-group-addon no-border no-padding">
                    <span>
                        <button type="button" id="faupload-url" class="btn btn-danger faupload" data-input-id="url"
                            data-mimetype="mp4,mp3,avi,flv,wmv" data-multiple="false" data-preview-id="p-url">
                            <i class="fa fa-upload"></i> {:__('Upload')}
                        </button>
                    </span>

                    <span>
                        <button type="button" id="fachoose-url" class="btn btn-primary fachoose" data-input-id="url"
                            data-mimetype="mp4,mp3,avi,flv,wmv" data-multiple="false">
                            <i class="fa fa-list"></i> {:__('Choose')}
                        </button>
                    </span>
                </div>

                <span class="msg-box n-right" for="url"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-url"></ul>
        </div>
    </div>

    <div class="form-group hidden layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="button" class="btn btn-default btn-embossed btn-close">{:__('Close')}</button>
        </div>
    </div>
</form>